| NPI | 1518047224 |
|---|---|
| Doing Business As | EASTLAND APOTHECARY SHOPPE |
| Entity Type | Organization |
| Authorized Contact | GARY PACH Chief Financial Officer 800-313-3677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301008204) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2009-03-17 |